Individual
KENNA RILEY WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 EMMA DR, CAMPOBELLO, SC 29322-9295
(910) 315-3044
Mailing address
50 EMMA DR, CAMPOBELLO, SC 29322-9295
(910) 315-3044
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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